Surgery to increase breast size is a common procedure. In this paper w
e examine the reasons why women choose to undergo the procedure, the h
istory of breast enhancement, current surgical approaches, possible co
mplications and their treatment. Driving forces behind the choice to h
ave augmentation surgery appear to be related to feelings of low self-
esteem and self-confidence. Although there is a large literature relat
ed to breast augmentation, little of it is research-based. The researc
h that there is focuses on complications and their treatment, with an
emphasis on capsular contracture. Few of the studies are long-term, al
though complications have been noted as long as 25 years after initial
implantation. There is a need for research into the experience of wom
en undergoing augmentation mammaplasty but, perhaps more importantly,
there is also a need to examine ways in which women can be helped to a
ccept themselves as they are.